Organization · NPI-2

Amicus INC

Case Management · Los Angeles, CA

NPI number1376721639
StatusActive
Last updated in NPPESJan 23, 2016

Details

NPI
1376721639
Entity type
Organization (NPI-2)
Legal business name
Amicus INC
Organization subpart
No
Enumeration date
Feb 8, 2008
Last updated
Jan 23, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management–CAYes
251K00000X Public Health or Welfare––
251V00000X Voluntary or Charitable–CA
261QD1600X Clinic/Center, Developmental Disabilities––
261QH0700X Clinic/Center, Hearing and Speech––
261QM1300X Clinic/Center, Multi-Specialty––
261QR0400X Clinic/Center, Rehabilitation––

Practice location

645 N Gardner St
Los Angeles, CA 90036-5712

Phone 323-683-8321 · Fax 651-400-5476

Mailing address

Po Box 480179
Los Angeles, CA 90048-1179

Phone 323-683-8321 · Fax 651-400-5476

Authorized official

Paulette R. Caswell
Ceo
3236838321

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